SSM Health DePaul Hospital - St. Louis
12303 Depaul Drive, Bridgeton, MO · SSM Health · · NPI 1598835308
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Unlisted px foot/toes CPT 28899 | not published | not published | $247.07 – $3,071.00 | 8 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $247.07 – $3,071.00 | 8 |
| Unlisted px hands/fingers CPT 26989 | $209.55 | $381.00 | $247.07 – $3,071.00 | 8 |
| Unlisted px inner ear CPT 69949 | not published | not published | $237.23 – $3,071.00 | 8 |
| Unlisted px lacrimal system CPT 68899 | $359.15 | $653.00 | $317.92 – $3,071.00 | 8 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $247.07 – $3,071.00 | 8 |
| Unlisted px male genital sys CPT 55899 | $247.50 | $450.00 | $250.25 – $3,071.00 | 8 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $2,167.00 – $3,071.00 | 5 |
| Unlisted px med radj physics CPT 77399 | $199.10 | $362.00 | $134.63 – $224.16 | 6 |
| Unlisted px middle ear CPT 69799 | not published | not published | $237.23 – $3,071.00 | 8 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $237.23 – $3,071.00 | 8 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $237.23 – $3,071.00 | 8 |
| Unlisted px pelvis/hip joint CPT 27299 | $304.70 | $554.00 | $247.07 – $3,071.00 | 8 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,167.00 – $3,071.00 | 8 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $237.23 – $3,071.00 | 8 |
| Unlisted px small intestine CPT 44799 | $2,471.15 | $4,493.00 | $908.45 – $3,071.00 | 8 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $237.23 – $3,071.00 | 8 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $134.63 – $224.16 | 6 |
| Unlisted px tongue flr mouth CPT 41599 | $183.70 | $334.00 | $237.23 – $3,071.00 | 8 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $237.23 – $3,071.00 | 8 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $49.76 – $62.63 | 6 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $400.42 – $653.21 | 6 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $200.96 – $241.15 | 5 |
| Unlisted surgical path px CPT 88399 | $29.70 | $54.00 | $49.76 – $62.63 | 6 |
| Unlisted transfusion med px CPT 86999 | $141.35 | $257.00 | $24.67 – $34.76 | 6 |
| Unlisted ultrasound procedure CPT 76999 | $321.20 | $584.00 | $87.17 – $146.01 | 6 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $40.23 – $40.23 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $628.32 – $3,071.00 | 8 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $400.42 – $653.21 | 6 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,167.00 – $7,266.35 | 8 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $2,167.00 – $10,806.00 | 8 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,872.75 | $3,405.00 | $687.42 – $824.91 | 5 |
| Upgrade pm system CPT 33214 | $16,727.15 | $30,413.00 | $524.24 – $12,562.64 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,560.80 | $4,656.00 | $264.89 – $1,257.64 | 6 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,705.00 | $3,100.00 | $231.53 – $1,107.52 | 6 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,485.00 | $2,700.00 | $148.75 – $710.49 | 6 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,298.00 | $2,360.00 | $141.46 – $2,004.00 | 8 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,370.05 | $2,491.00 | $158.89 – $2,680.00 | 8 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $278.93 – $3,071.00 | 6 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $159.25 – $2,680.00 | 8 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $675.55 – $6,158.23 | 8 |
| Urea nitrogen CPT 84520 | $45.10 | $82.00 | $3.95 – $16.30 | 7 |
| Urea nitrogen 24 hour urine CPT 84540 | $31.35 | $57.00 | $4.91 – $19.57 | 7 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $27.25 | 7 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $17.13 | 7 |
| Ureteral embolization/occl CPT 50705 | $3,489.20 | $6,344.00 | $216.55 – $2,167.00 | 5 |
| Ureteral reflux study CPT 78740 | not published | not published | $198.97 – $608.47 | 7 |
| Ureter endoscopy CPT 50970 | not published | not published | $397.23 – $3,886.00 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $377.84 – $5,461.75 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $505.88 – $5,461.75 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $383.83 – $3,886.00 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $380.05 – $5,461.75 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $340.25 – $5,461.75 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $498.80 – $5,461.75 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $381.97 – $5,461.75 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,183.10 – $3,071.00 | 6 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,205.31 – $3,071.00 | 6 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $570.90 | $1,038.00 | $66.03 – $286.78 | 7 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $795.71 – $4,236.81 | 8 |
| Urethrocystography void s&i CPT 74455 | $577.50 | $1,050.00 | $65.25 – $286.78 | 7 |
| Uric acid blood CPT 84550 | $32.45 | $59.00 | $4.52 – $18.64 | 7 |
| Uric acid urine CPT 84560 | $75.90 | $138.00 | $4.91 – $19.57 | 7 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $15.70 | 7 |
| Urinalysis microscopic only CPT 81015 | $40.70 | $74.00 | $3.05 – $12.56 | 7 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $8.92 | 7 |
| Urinalysis (with microscopy) CPT 81001 | $39.05 | $71.00 | $3.17 – $13.09 | 7 |
| Urinalysis (without microscopy) CPT 81003 | $23.10 | $42.00 | $2.25 – $9.25 | 7 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $71.70 – $223.41 | 3 |
| Urinary reflex study CPT 51792 | not published | not published | $59.09 – $2,302.00 | 8 |
| Urine Culture Test CPT 87086 | $60.50 | $110.00 | $8.07 – $33.27 | 7 |
| Urine flow measurement 51736 CPT 51736 | $26.40 | $48.00 | $7.20 – $2,302.00 | 8 |
| Urine pregnancy test CPT 81025 | $72.05 | $131.00 | $8.61 – $28.76 | 7 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.64 – $100.13 | 7 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,301.62 – $3,071.00 | 6 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.00 – $1,444.00 | 5 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $0.01 – $0.01 | 1 |
| Urography, antegrade CPT 74425 | $470.80 | $856.00 | $59.18 – $419.32 | 7 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $82.81 – $264.61 | 7 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $0.01 – $0.01 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $0.01 – $0.01 | 1 |
| Use 1st target lesion CPT 76982 | $245.30 | $446.00 | $67.52 – $203.03 | 7 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.36 – $22.07 | 6 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $257.20 – $330.18 | 3 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $8,775.00 – $15,431.29 | 6 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $188.32 – $266.72 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $171.32 – $242.65 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $181.62 – $257.24 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $102.26 – $144.84 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $76.37 – $108.16 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $28.99 – $28.99 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $99.29 – $99.29 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $61.80 – $61.80 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $153.10 – $153.10 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $116.18 – $116.18 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $31.06 – $31.06 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $42.90 | $78.00 | $12.29 – $12.29 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $84.67 – $122.95 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $128.47 – $128.47 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $38.64 – $38.64 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $87.55 – $124.00 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.